A 51 year old woman woke up with neck pain one morning. She experienced constant pain and stiffness around the left upper neck. The pain was interfering with her sleep, she also found it difficult and painful to extend her neck.
Prior coming to see us she had been to the osteopath 3 times, and a myotherapist twice. However there was no change in the symptoms. She also had an x-ray done which did not demonstrate any significant findings.
On examination she was very stiff when mobilising the left C1/2 articular pillar, and C2 transverse process. However upon mobilising the stiff cervical segments, it did not loosen, therefore we went on checking other areas. We found muscles around the neck and shoulders to be very tight, however releasing those muscles only revealed minimal change. We found several segments in the thoracic area to be stiff, however upon mobilising the thoracic, it still only made minimal change to the neck pain and movement.
Eventually we found her right groin and the psoas muscle to be very tight, and after releasing the psoas muscle she gained full painfree neck movement!